Pedi WK2-3.5-21
1.A nurse reports an incident of suspected child abuse. One of the parents of the child becomes
upset and demands to know the reason for the nurse's action. Which of the following
responses by the nurse is appropriate?
A. "As a nurse, I am required by law to report suspected child abuse."
B. "I am unable to discuss this, but I can contact my supervisor to speak with you."
C. "The provider will be coming to explain the situation."
D. "I reported the incident to my supervisor who decided to contact the authorities."
2.A nurse is speaking with the mother of a 6-year-old child. Which of the following statements
by the mother should concern the nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
C. "My child often cheats when we play board games."
D. "Sometimes my child acts bossy with his friends."
3.A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following
vaccines should the nurse give? (Select all that apply.)
A. Measles, mumps rubella (MMR)
B. Diphtheria, tetanus and acellular pertussis (DTaP)
C. Varicella (VAR)
D. Rotavirus (RV)
E. Human papillomavirus (HPV4)
4.A nurse is assessing a toddler at a well-child visit. At what point in the physical examination
should the nurse examine the child's tympanic membrane?
A. At the end
B. At the beginning
Created on:09/08/2021 Pa
,Pedi WK2-3.5-21
C. Before examining the head and neck
D. Before auscultating the chest and abdomen
5.A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
A. Encourage the parents to rock the infant.
B. Offer the infant a pacifier.
C. Administer ibuprofen as needed for pain.
D. Position the infant on her abdomen.
6.A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence
the nurse should follow. (Move the steps into the box on the right, placing them in the
selected order of performance. Use all the steps.)
A. 1. Inspection
B. 3. Superficial palpation
C. 4. Deep palpation
D. 2. Auscultation
7.A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the
parents visit the next day, the nurse explains the situation and one of the parents says, "She
never wets the bed at home. I am so embarrassed." Which of the following responses should
the nurse make?
A. "It is expected for children who are hospitalized to regress. The toileting skills will return
when your child is feeling better."
B. "I know this can really be embarrassing. I have kids myself, so I understand, and it
doesn't bother me."
C. "Your child did not seem upset, so I wouldn't worry about it if I were you."
D. "Why does it bother you that your child has wet the bed?"
Created on:09/08/2021 Pa
, Pedi WK2-3.5-21
8.A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with
contact precautions in place. Which of the following toys should the nurse recommend in
order to meet the developmental needs of the client?
A. Large building blocks
B. Hanging crib toys
C. Modeling clay
D. Crayons and a coloring book
9.A nurse is reviewing data for four children. Which of the following children should the nurse
assess first?
A. A 10-year-old child who has sickle cell anemia who reports severe chest pain
B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016
C. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F)
D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg
10.A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After
the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the
corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler
turns away from the nurse. The nurse should understand that these behaviors indicate which
of the following developmental reactions?
A. An anxiety reaction
B. Regression
C. Resentment toward the mother
D. Developing autonomy
11.A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his
parent leaves. Which of the following toys should the nurse provide to alleviate the child's
stress?
A. Set of building blocks
B. Toy hammer and pounding board
Created on:09/08/2021 Pa
1.A nurse reports an incident of suspected child abuse. One of the parents of the child becomes
upset and demands to know the reason for the nurse's action. Which of the following
responses by the nurse is appropriate?
A. "As a nurse, I am required by law to report suspected child abuse."
B. "I am unable to discuss this, but I can contact my supervisor to speak with you."
C. "The provider will be coming to explain the situation."
D. "I reported the incident to my supervisor who decided to contact the authorities."
2.A nurse is speaking with the mother of a 6-year-old child. Which of the following statements
by the mother should concern the nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
C. "My child often cheats when we play board games."
D. "Sometimes my child acts bossy with his friends."
3.A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following
vaccines should the nurse give? (Select all that apply.)
A. Measles, mumps rubella (MMR)
B. Diphtheria, tetanus and acellular pertussis (DTaP)
C. Varicella (VAR)
D. Rotavirus (RV)
E. Human papillomavirus (HPV4)
4.A nurse is assessing a toddler at a well-child visit. At what point in the physical examination
should the nurse examine the child's tympanic membrane?
A. At the end
B. At the beginning
Created on:09/08/2021 Pa
,Pedi WK2-3.5-21
C. Before examining the head and neck
D. Before auscultating the chest and abdomen
5.A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
A. Encourage the parents to rock the infant.
B. Offer the infant a pacifier.
C. Administer ibuprofen as needed for pain.
D. Position the infant on her abdomen.
6.A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence
the nurse should follow. (Move the steps into the box on the right, placing them in the
selected order of performance. Use all the steps.)
A. 1. Inspection
B. 3. Superficial palpation
C. 4. Deep palpation
D. 2. Auscultation
7.A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the
parents visit the next day, the nurse explains the situation and one of the parents says, "She
never wets the bed at home. I am so embarrassed." Which of the following responses should
the nurse make?
A. "It is expected for children who are hospitalized to regress. The toileting skills will return
when your child is feeling better."
B. "I know this can really be embarrassing. I have kids myself, so I understand, and it
doesn't bother me."
C. "Your child did not seem upset, so I wouldn't worry about it if I were you."
D. "Why does it bother you that your child has wet the bed?"
Created on:09/08/2021 Pa
, Pedi WK2-3.5-21
8.A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with
contact precautions in place. Which of the following toys should the nurse recommend in
order to meet the developmental needs of the client?
A. Large building blocks
B. Hanging crib toys
C. Modeling clay
D. Crayons and a coloring book
9.A nurse is reviewing data for four children. Which of the following children should the nurse
assess first?
A. A 10-year-old child who has sickle cell anemia who reports severe chest pain
B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016
C. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F)
D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg
10.A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After
the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the
corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler
turns away from the nurse. The nurse should understand that these behaviors indicate which
of the following developmental reactions?
A. An anxiety reaction
B. Regression
C. Resentment toward the mother
D. Developing autonomy
11.A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his
parent leaves. Which of the following toys should the nurse provide to alleviate the child's
stress?
A. Set of building blocks
B. Toy hammer and pounding board
Created on:09/08/2021 Pa
